Jared Theriot, MD
Student in an Organized Health Care Education/Training Program in Akron, OH. Individual provider (NPI-1).
NPI number1861929366
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1861929366
- Entity type
- Individual (NPI-1)
- Name
- Jared Theriot
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2017
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
525 E Market StAkron, OH 44304-1619
Phone 330-375-3666
Mailing address
525 E Market StAkron, OH 44304-1619
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